Individual provider Active NPI

Nitin Tiwari

  • Dermatology Physician
  • Chillicothe, OH
National Provider Identifier
1720433592
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.140263 Issued in OH
Practice address
4439 State Route 159 Ste G50
Chillicothe, OH 45601-7202
Phone
(740) 779-8580
Fax
(740) 779-8589
NPI assigned
Apr 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.140263 OH Primary

Addresses

Primary practice location

4439 State Route 159 Ste G50
Chillicothe, OH 45601-7202

Mailing address

4439 State Route 159 Ste G50
Chillicothe, OH 45601-7202
Phone (740) 779-8580

Other practice location 1

1250 E. Marshall St.
Box 980509
Richmond, VA 23298
Phone (804) 828-8786

Other practice location 2

1240 Lee St
Charlottesville, VA 22908-0817
Phone (434) 243-6297

Other practice location 3

1240 Lee St Ste 2401
Charlottesville, VA 22908-0817
Phone (434) 243-6297

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.derm@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200812001624 OH Practitioner - Dermatology 7810281276 Reassigns benefits to 1 organization
I20250701000529 NY Practitioner - Dermatology 7810281276 Reassigns benefits to 1 organization
I20260318000409 AL Practitioner - Dermatology 7810281276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Skin Cancer and DermatologyGroup PAC ID 0648427856, 9 clinicians

Practice addresses (Care Compare)

104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Dermatology CurrentSince Aug 6, 2020 Accepting new patients
Southeastern Skin Cancer & Dermatology CurrentSince Mar 1, 2026 Accepting new patients
Schweiger Dermatology PLLC Dermatology CurrentSince Jun 26, 2025 Accepting new patients

Locations

104 J E Briscoe Way
Madison, AL 35758
Phone (256) 705-3000

385 Merrick Rd
Amityville, NY 11701

21418 24th Ave
Flushing, NY 11360
Phone (718) 428-6000

11835 Queens Blvd
Lowr
Forest Hills, NY 11375
Phone (718) 408-4915

229 7th St
Ste 105
Garden City, NY 11530
Phone (516) 741-1055

825 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 773-4500

3003 New Hyde Park Rd
Ste 204
New Hyde Park, NY 11042
Phone (516) 354-6868

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

4439 State Route 159
Ste G50
Chillicothe, OH 45601
Phone (740) 779-8540

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720433592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE G50",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017202",
            "telephone_number": "740-779-8580",
            "fax_number": "740-779-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE G50",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017202",
            "telephone_number": "740-779-8580",
            "fax_number": "740-779-8589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E. Marshall St.",
            "address_2": "Box 980509",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-8786",
            "fax_number": "804-828-5466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080817",
            "country_code": "US",
            "telephone_number": "434-243-6297",
            "fax_number": "434-244-9438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 Lee St Ste 2401",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080817",
            "country_code": "US",
            "telephone_number": "434-243-6297",
            "fax_number": "434-244-9438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWARI",
        "first_name": "NITIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.140263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.derm@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste G50",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.